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NSG 223 EXAM 2 MEDSURG
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NSG 223 EXAM 2 MEDSURG
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NSG 223 EXAM 2 MEDSURG NEWEST ACTUAL EXAMCOMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!
The initial treatment of choice for conduction abnormalities is - ANSWER: IV bolus of
atropine
not effective for type II, second degree or third degree AV block
adverse effects of atropine - ANSWER: Tachycardia
Mydriasis
Urinary retention
contraindications of atropine - ANSWER: glaucoma
Bronchial asthma
Bladder neck obstruction
signs of ICP - ANSWER: Cushing triads
(systolic hen, widening MAP, bradycardia, irregular respirations)
ocular signs of ICP - ANSWER: dilation of pupil on same side
unequal pupils
ptosis (droopy eyes)
diplopia (double vision)
Dolls eyes (head falls back, eyes go back with it)
sluggish/blurred vision
mild concussion discharge instructions - ANSWER: return if you have:
- persistant headache
- lethargy
- changes in behavior
- shortened attention span
- change in intelectual abilities
What's a closed head injury? - ANSWER: non penetrating injury
whats the difference between concussion vs contusion? - ANSWER: concussion: head
injury, no internal damage
contusion: head injury w/ tissue damage
sx a pt's closed head injury is worsening - ANSWER: battles sign
raccoon eyes
CFS leak
, a pt has a closed head injury and now is having CSF leakage, whats this pt at risk for?
- ANSWER: meningitis
**glucose test ; halos sign (tests spinal fluid)**
Symptoms of autonomic dysreflexia - ANSWER: increased BP
blinding headache
bladder full
pt is assessed and RN suspects possible autonomic dysreflexia, what should RN do
first? - ANSWER: elevate head of bed
pt has a spinal cord injury at T5, what shouldn't they do - ANSWER: raise knees = DVT
risk
Dilatin class - ANSWER: Antiarryhmic & Anticonvulsant
Dilatin teaching - ANSWER: NL side effects: headache N/V constipation, insomnia
need back up OC
Decorticate posturing - ANSWER: arms flexed inward and bent in toward the body
and the legs are extended
Decerebrate posturing - ANSWER: position of an unconscious person where the
upper extremities and lower extremities are extended and the wrists are flexed
posting of ICP pt's? - ANSWER: Decorticate (flexor)
Decerebrate (extensor)
Dantrolene teachings - ANSWER: liver tests needed = severe hepatic impairment
diarrhea
anorexia
nervousness
hyperkalemia
What to do to prevent complications from a TBI - ANSWER: nutrition
monitor I&O
monitor glucose, K, NA, Mg
protect from further injury
DIC lab values: - ANSWER: LOW platelet
LOW fibrimogen
HIGH d-dimmer
HIGH aPTT & PT
whats DIC - ANSWER: Disseminated intravascular coagulation
inflammatory response = initiates inflammation & coagulation
*clotting condition
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